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General NPI Number Information
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NPI Number | 1811824121
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Entity Type | Organization
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Legal Business Name | HOWARD BROWN HEALTH CENTER
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Dates
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Enumeration Date | 05/08/2026
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Last Update Date | 05/08/2026
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Provider Practice Location Address
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Address Line | 641 W 63RD ST
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City | CHICAGO
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State | IL
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Zip | 60621-2032
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Country | US
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Telephone | 773-388-1600
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Fax | 773-388-8936
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Provider Business Mailing Address
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Address Line | PO BOX 8241
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City | CAROL STREAM
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State | IL
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Zip | 60197-8241
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Country | US
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Telephone | 773-388-1600
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Fax | 773-388-8936
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Authorized Official
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Title or Position | CREDENTIALING MANAGER
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Name | BURGUNDY JOHNSON
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Credential |
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Telephone | 773-388-1600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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